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目的:探讨宫腔镜联合腹腔镜治疗输卵管性不孕的临床效果,为临床治疗提供依据。方法:选择2011年1月~2013年1月因输卵管性不孕在我院妇产科就诊的患者共120例,依据手术方法平均分为A组(宫腔镜)、B组(腹腔镜)、C组(宫腔镜联合腹腔镜)和D组(开腹手术),对比各组患者手术情况(手术时间、术中出血量和住院天数)、术后输卵管再通率和术后妊娠率。结果:A、B、C、D组手术时间、术中出血量、及住院天数依次增加,差异均有统计学意义(均P<0.05);C组患者术后输卵管再通率、妊娠率均显著高于A组、B组、D组(均P<0.05)。结论:宫腔镜联合腹腔镜治疗输卵管性不孕,具有创伤小、术后恢复快、输卵管再通率、妊娠率高的优点,值得推广应用。
Objective: To explore the clinical effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility and provide the basis for clinical treatment. Methods: A total of 120 patients with obstetrics and gynecology admitted to our hospital from January 2011 to January 2013 were divided into group A (hysteroscopy), group B (laparoscopy) , Group C (hysteroscopy combined with laparoscopy) and group D (laparotomy). The operative conditions (operative time, intraoperative blood loss and length of hospital stay), postoperative tubal recanalization rate and postoperative pregnancy rate . Results: The operation time, intraoperative blood loss and hospitalization days in groups A, B, C and D increased successively with significant difference (all P <0.05). The postoperative tubal recanalization rate, pregnancy rate Which were significantly higher than those in group A, B and D (all P <0.05). Conclusion: Hysteroscopy combined with laparoscopy in the treatment of tubal infertility has the advantages of small trauma, rapid recovery, tubal recanalization rate and high pregnancy rate, which is worth popularizing and applying.